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Information services: because of the extraordinary role that public policy plays in the financing and delivery of care by children's hospitals, NACH creates a broad array of publications and information services that enable children's hospitals to understand the changing public policy environment, its implications for the missions of children's hospitals, and the opportunity it presents for children's hospitals to protect and advance their common business interests.

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Advocacy: NACH directly advocates for federal legislation and public policy positions on behalf of children's hospitals. This is accomplished by but not limited to meeting with federal policy makers and their staff, in testimony to congressional and executive branch agencies, in regulatory and congressional letters and other communications. NACH also participates in communications by coalitions involving other organizations with common interests, as well as in media related advocacy, such as press releases and briefings, and paid advertisements. NACH's primary areas of public affairs advocacy focuses on legislation that directly affects the ability of children's hospitals to fulfill their mission of providing clinical care for children regardless of economic or medical condition, training the next generation of physicians for children, and educating the public about broader issues that affect children's health care.

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Advocacy educational programming: NACH organizes educational programing and opportunities for member hospitals to engage with the federal legislative and regulatory process, focused on advocacy for children and children's hospitals. NACH engages with member hospitals to educate lawmakers through advocacy materials, meetings and education events to highlight the unique challenges, patient populations, and communities children's hospitals serve.